NPPES file of Aug 9, 2026

Scott David Wallace, NP

Family Nurse Practitioner · Fairfield, CA

Scott David Wallace, NP is a family nurse practitioner with a practice address in Fairfield, California, and NPI 1790442408, issued on Nov 17, 2021. Check the license (California 459083, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1790442408
Name
Scott David Wallace
Credential
NP
Primary taxonomy
Family Nurse Practitioner 363LF0000X
License number
459083 CA
Self-reported in NPPES; status is on the state search
Practice location
513 Silverado Cir, Fairfield, CA 94534
Phone
(707) 864-3240
Enumerated
Nov 17, 2021
Record last updated
Nov 17, 2021 (not updated in 5 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20260112001034); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Scott David Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 459083
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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95% fewer Medicare Part D claims than the average family nurse practitioner in 2024

63 Medicare Part D claims for 39 beneficiaries, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D.

  1. Scott Wallace63
  2. Specialty average1,305

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Scott David Wallace among 16,966 family nurse practitioner records in California

Scott David Wallace, NP is one of 16,966 family nurse practitioner records with a practice address in California. 67% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 62% of them.

  • NPI issued2021 · 62% of these records are older, 32% newer
  • In a Medicare fileYes · 67% of these records are
  • In the CMS Doctors and Clinicians fileYes · 40% of these records are
  • Graduated2023 · median 2019 among the 6,793 with a school on file
  • Record last updated2021 · 42% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

52 family nurse practitioner records list a practice address in Fairfield

They are 52 of the 3,595 NPPES records with a practice address in Fairfield, and 16,966 family nurse practitioner records in California.

The 8 family nurse practitioner records with the nearest ZIP codes

  1. Laurie BreseeFairfield, CA 945341174004659
  2. Annie Rose Condolon-Kohler, NPFairfield, CA 945341174086359
  3. Douglas Dado, DNPFairfield, CA 945341649733049
  4. Kalsang Dorji, DNP, FNP-BCFairfield, CA 945341861056640
  5. Susan Foster, FNP-CFairfield, CA 945341891730628
  6. Jorge Garcia, RN, MSN, FNPFairfield, CA 945341225593767
  7. Lanette Gresham, RN, BSN, MSN, FNP-BCFairfield, CA 945341346669074
  8. Aneet Grewal, ARNPFairfield, CA 945341700250883

Common questions

What is Scott David Wallace, NP's NPI number?

Scott David Wallace, NP's National Provider Identifier (NPI) is 1790442408, issued on Nov 17, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Scott David Wallace, NP located?

The NPPES record lists a practice address at 513 Silverado Cir, Fairfield, CA, 94534. Phone: (707) 864-3240. Providers update this record themselves, so call before visiting.

How can I verify Scott David Wallace, NP's license?

NPPES lists California license number 459083, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

How much does Scott David Wallace, NP prescribe under Medicare Part D?

In 2024, Scott David Wallace, NP had 63 Medicare Part D claims for 39 beneficiaries; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.